1,720,984 research outputs found

    Course of symptom severity and prediction of outcome in inpatient psychotherapy

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    Objectives: The study looks for typical curves of symptom development in inpatients and investigates the influence of initial remoralisation and terminal improvement on the global therapy outcome. Methods: 71 psychotherapy inpatients (affective, anxiety, eating and personality disorders; average treatment duration 11.9 weeks) gave weekly self-reports on symptom severity (BSI, Derogatis, 1983) and had a complete outcome evaluation. Regression parameters of the symptom curves were taken for correlational and path analytic calculations. Results: Initial symptom alleviation is able to predict better global outcome. However there is a relevant subgroup of patients which has a good outcome despite an initial deterioration. Conclusions: Initial remoralisation predicts better outcome but is not a necessary condition. The results partly call into question the group statistical dose-response-curves. Further studies should test the influence of other process parameters (group cohesion, therapeutic alliance etc.) on the course of treatment

    The development of insight and pathogenic beliefs during the psychotherapeutic process. A quantitative single case study basing on control-mastery theory

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    In psychodynamic theory, insight has traditionally been regarded as one of the main curative factors. It stands for a cognitive as well as emotional understanding of dysfunctional beliefs which may be pathogenic. It was the purpose of our study to investigate the developments of insight and pathogenic beliefs during the therapeutic process in relation to the therapeutic interventions. The variables were assessed by a patient specific approach in the case of a 25-year-old patient with a major depressive disorder. Four trained raters evaluated the verbatim transcripts of all 25 therapy sessions on the basis of the planformulation method. Outcome was measured by pre-post differences of the SCL-90-R (German version) and the Inventory of Interpersonal Problems. Correlational and regressional analyses showed the course of insight to be significantly associated with therapeutic interventions refuting the patient's pathogenic beliefs. During the whole process, insightful statements were presented with a lower frequency and intensity than pathogenic beliefs. The results support the hypothesis of control-mastery theory, that insightful statements may be unconsciously suppressed in order to present pathogenic beliefs intensively with the goal to refute them. However, there were no explicit associations between insight and symptom reduction

    Course of symptom severity and prediction of outcome in inpatient psychotherapy

    No full text
    Objectives: The study looks for typical curves of symptom development in inpatients and investigates the influence of initial remoralisation and terminal improvement on the global therapy outcome. Methods: 71 psychotherapy inpatients (affective, anxiety, eating and personality disorders; average treatment duration 11.9 weeks) gave weekly self-reports on symptom severity (BSI, Derogatis, 1983) and had a complete outcome evaluation. Regression parameters of the symptom curves were taken for correlational and path analytic calculations. Results: Initial symptom alleviation is able to predict better global outcome. However there is a relevant subgroup of patients which has a good outcome despite an initial deterioration. Conclusions: Initial remoralisation predicts better outcome but is not a necessary condition. The results partly call into question the group statistical dose-response-curves. Further studies should test the influence of other process parameters (group cohesion, therapeutic alliance etc.) on the course of treatment
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